Organization
OPTIMAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN BEATTY (OWNER)
(310) 877-0127
Entity
Organization
Contact information
Practice address
610 E BASELINE RD, TEMPE, AZ 85283-1204
(310) 877-0127
(623) 321-6694
Mailing address
610 E BASELINE RD, TEMPE, AZ 85283-1204
(310) 877-0127
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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